17/03/2014

Case of the week part 5.

Broken file removal....nightmare. Upper left picture is initial. In mesio-buccal canal there was w broken part of K-file. Luckily was in upper third of RC so it was few moments to remove it (upper right picture). After instrumentation, during final irrigation apical part of smooth wire placed in endochuck separated. It was placed in apical foramen. It was very risky to remove it without root damage. I decided to leave it as it was and fill canals with CWO. Broken part was pushed through apical foramen by gutta-percha (lower left pic.). Recall after 8 months - besides small metal part all lesions are gone! Lucky me ;)

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